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DHS-2402B-ENG Change Report Form for the Supplemental Nutrition Assistance Program - English
DHS-2402B-HMN Change Report Form for the Supplemental Nutrition Assistance Program - Hmong
DHS-2402B-RUS Change Report Form for the Supplemental Nutrition Assistance Program - Russian
DHS-2402B-SOM Change Report Form for the Supplemental Nutrition Assistance Program - Somali
DHS-2402B-SPA Change Report Form for the Supplemental Nutrition Assistance Program - Spanish
DHS-2402B-VIE Change Report Form for the Supplemental Nutrition Assistance Program - Vietnamese
DHS-3754-ENG Service Agreement and Screening Document (SASD) Support Team Portal
DHS-3926-ENG Request for Guidance for an Agency Error Overpayment
DHS-4016A-ENG Organization - Provider Enrollment Application
DHS-4905C-ENG Extended Psychiatric Inpatient Initial Review
DHS-4905D-ENG Extended Psychiatric Inpatient Weekly Bed Review
DHS-4905F-ENG Extended Psychiatric Inpatient Discharge Summary Review
DHS-4915-ENG Medical Assistance (MA) Payment of Long-Term Care Services
DHS-5223F-ENG Supplemental Nutrition Assistance Program (SNAP) Application for Seniors
DHS-5504B-ENG Exception Request for Environmental Accessibility Adaptations that Exceed $40,000 (CAC, CADI, BI and DD Waivers)
DHS-5550-ENG Provider Entity Sale or Transfer Addendum
DHS-5820C-ENG Lead agency provider tool for DWRS exceptions (residential)
DHS-5820E-ENG Lead Agency Provider Tool for DWRS Exceptions (Customized Living)
DHS-7954A-ENG Risk Reduction Plan for Licensed Child Care Centers
DHS-7954B-ENG Risk Reduction Plan for Certified Child Care Centers
DHS-8064-ENG Title IV-E Northstar Adoption Assistance Eligibility Determination for Children Placed Privately for Adoption
DHS-8206A-ENG Program Plan for Special Family Child Care
DHS-8241-ENG Minnesota Proof of Foster Care Placement
DHS-8248-ENG Report to Court Non-ICWA, Non-MIFPA
DHS-8249-ENG Qualified Residential Treatment Program (QRTP) Placement Addendum to the Report to the Court
DHS-8250-ENG VPA Addendum
DHS-8289-ENG Foster Care Dual License Variance Request
DHS-8306-ENG Request for verification of comprehensive assessment
DHS-8337-ENG Agreement Between Foster Parents and Child Foster Care Licensing Agency
DHS-8338-ENG Annual Evaluation of Licensed Foster Home
DHS-8339-ENG Licensed Child Care Center Drill Log
Form(s) made obsolete:
None
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